Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,669.00 / $12,040.00	Facility		$983.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,555.81 / $1,851.95 / $2,370.21	Professional		$1,555.81	$1,851.95	$2,370.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,558.39 / $1,972.55 / $2,247.46	Professional		$1,558.39	$1,972.55	$2,247.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,462.22 / $1,462.22 / $1,462.22	Facility		$1,462.22	$1,462.22	$1,462.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,668.39 / $2,202.30 / $3,261.66	Professional		$1,668.39	$2,202.30	$3,261.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,123.44 / $12,494.88 / $14,107.35	Professional		$12,123.44	$12,494.88	$14,107.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.06 / $1,896.17 / $3,458.00	Facility		$1,628.06	$1,896.17	$3,458.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.44 / $2,496.78 / $2,937.38	Professional		$2,121.44	$2,496.78	$2,937.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,628.06 / $1,973.94 / $4,344.56	Facility		$1,628.06	$1,973.94	$4,344.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,674.26 / $2,216.05 / $3,537.79	Professional		$1,674.26	$2,216.05	$3,537.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $12,900.00	Facility		$2,093.00	$5,648.00	$12,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.19 / $1,813.61 / $2,936.33	Professional		$1,345.19	$1,813.61	$2,936.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,392.76 / $1,580.14 / $2,204.36	Professional		$1,392.76	$1,580.14	$2,204.36